Rick Body examines NICE’s 2014 recommendations on high-sensitivity troponin testing for early exclusion of NSTEMI. The article and podcast explain the guidance’s limited assay-specific scope, the distinction between excluding infarction and deciding on discharge, and the practical challenge of fitting repeat testing into emergency department workflows.
New NICE high sensitivity troponin guidance: 3 hours and done? Read More
A 2014 induction guide and podcast on assessing syncope in the emergency department. Simon Carley and Iain Beardsell discuss establishing what happened, gathering a witness history and using the ECG, then connect possible causes with the physiology of cerebral perfusion to structure further assessment.
Syncope at St Emlyns Read More
What does ‘high sensitivity’ actually mean when describing a troponin assay? This 2014 explainer and accompanying podcast unpack detection limits, precision and the distinction between analytical and diagnostic sensitivity, while exploring why more sensitive tests still require careful clinical interpretation.
High sensitivity troponin Read More
A 2014 induction guide and podcast on assessing breathlessness in the emergency department. The post introduces important causes, focused history-taking, the role of investigations and early senior support, with further learning resources for clinicians finding their feet in the ED.
An Introduction to the Breathless Patient in the ED Read More
A 2014 introduction to cardiac troponin, built around common questions from the emergency department. The post introduces Rick Body and Iain Beardsell’s podcast on interpreting results, including causes of elevation, timing, changes between samples and the complications posed by renal failure.
Cardiac Troponin: The basics from St. Emlyn’s Read More
An archery metaphor opens a 2014 discussion about targets in emergency medicine. The accompanying podcast asks whether targets inevitably distort care or can be used to improve services, with reflections on short-stay medicine, departmental pressures and keeping the interests of patients and staff in view.
The Archers of the Emergency Department. St.Emlyn’s Read More
An early announcement of the St Emlyn’s podcast from 2014. The post introduces its initial focus on diagnosis, plans for clinical and management discussions, and contributions from the wider team, capturing the beginnings of the project alongside the blog.
St.Emlyn’s the podcast Read More
The first St Emlyn’s podcast, from 2014, introduces Iain Beardsell and Simon Carley’s plans for the series. They explain the sharing philosophy of FOAMed and their aim to bring a UK perspective to clinical medicine, critical appraisal and the practical challenges of running an emergency department.
Podcast – The St Emlyn’s Podcast – An Introduction Read More
